TY - JOUR
T1 - National Prehospital Evidence-Based Guidelines Strategy
T2 - A Summary for EMS Stakeholders
AU - Martin-Gill, Christian
AU - Gaither, Joshua B.
AU - Bigham, Blair L.
AU - Myers, J. Brent
AU - Kupas, Douglas F.
AU - Spaite, Daniel W.
N1 - Funding Information:
Blair Bigham is a consultant for MedicAlert Foundation of Canada. Joshua B. Gaither received a grant from NIH/NINDS (Traumatic Brain Injury) and Philips Corporation & Zoll Medical (Real-Time Audio-Visual Feedback in CPR). Daniel W. Spaite received a grant from NIH/NINDS (EPIC Study, Implementing the EMS EBGs statewide in Arizona and other research support from Medtronic Foundation, Implementing OHCA EBGs statewide in Arizona). The National Prehospital EBG Strategy was developed by the National Association of EMS Physicians as part of a cooperative agreement with the National Highway Traffic Safety Administration (NHTSA) of the U.S. Department of Transportation (DOT) (DTNH22-13-H-00435). Funding was provided by NHTSA and the Emergency Medical Services for Children (EMSC) program of the Health Resources and Services Administration. The authors would like to thank Catherine S. Gotschall, ScD, for her detailed input on the Strategy as the Contracting Office's Representative.
PY - 2016/3/3
Y1 - 2016/3/3
N2 - Multiple national organizations have recommended and supported a national investment to increase the scientific evidence available to guide patient care delivered by Emergency Medical Services (EMS) and incorporate that evidence directly into EMS systems. Ongoing efforts seek to develop, implement, and evaluate prehospital evidence-based guidelines (EBGs) using the National Model Process created by a multidisciplinary panel of experts convened by the Federal Interagency Committee on EMS (FICEMS) and the National EMS Advisory Council (NEMSAC). Yet, these and other EBG efforts have occurred in relative isolation, with limited direct collaboration between national projects, and have experienced challenges in implementation of individual guidelines. There is a need to develop sustainable relationships among stakeholders that facilitate a common vision that facilitates EBG efforts. Herein, we summarize a National Strategy on EBGs developed by the National Association of EMS Physicians (NAEMSP) with involvement of 57 stakeholder organizations, and with the financial support of the National Highway Traffic Safety Administration (NHTSA) and the EMS for Children program. The Strategy proposes seven action items that support collaborative efforts in advancing prehospital EBGs. The first proposed action is creation of a Prehospital Guidelines Consortium (PGC) representing national medical and EMS organizations that have an interest in prehospital EBGs and their benefits to patient outcomes. Other action items include promoting research that supports creation and evaluates the impact of EBGs, promoting the development of new EBGs through improved stakeholder collaboration, and improving education on evidence-based medicine for all prehospital providers. The Strategy intends to facilitate implementation of EBGs by improving guideline dissemination and incorporation into protocols, and seeks to establish standardized evaluation methods for prehospital EBGs. Finally, the Strategy proposes that key stakeholder organizations financially support the Prehospital Guidelines Consortium as a means of implementing the Strategy, while together promoting additional funding for continued EBG efforts.
AB - Multiple national organizations have recommended and supported a national investment to increase the scientific evidence available to guide patient care delivered by Emergency Medical Services (EMS) and incorporate that evidence directly into EMS systems. Ongoing efforts seek to develop, implement, and evaluate prehospital evidence-based guidelines (EBGs) using the National Model Process created by a multidisciplinary panel of experts convened by the Federal Interagency Committee on EMS (FICEMS) and the National EMS Advisory Council (NEMSAC). Yet, these and other EBG efforts have occurred in relative isolation, with limited direct collaboration between national projects, and have experienced challenges in implementation of individual guidelines. There is a need to develop sustainable relationships among stakeholders that facilitate a common vision that facilitates EBG efforts. Herein, we summarize a National Strategy on EBGs developed by the National Association of EMS Physicians (NAEMSP) with involvement of 57 stakeholder organizations, and with the financial support of the National Highway Traffic Safety Administration (NHTSA) and the EMS for Children program. The Strategy proposes seven action items that support collaborative efforts in advancing prehospital EBGs. The first proposed action is creation of a Prehospital Guidelines Consortium (PGC) representing national medical and EMS organizations that have an interest in prehospital EBGs and their benefits to patient outcomes. Other action items include promoting research that supports creation and evaluates the impact of EBGs, promoting the development of new EBGs through improved stakeholder collaboration, and improving education on evidence-based medicine for all prehospital providers. The Strategy intends to facilitate implementation of EBGs by improving guideline dissemination and incorporation into protocols, and seeks to establish standardized evaluation methods for prehospital EBGs. Finally, the Strategy proposes that key stakeholder organizations financially support the Prehospital Guidelines Consortium as a means of implementing the Strategy, while together promoting additional funding for continued EBG efforts.
KW - clinical practice guidelines
KW - emergency medical services
KW - evidencebased medicine
UR - http://www.scopus.com/inward/record.url?scp=84958531045&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84958531045&partnerID=8YFLogxK
U2 - 10.3109/10903127.2015.1102995
DO - 10.3109/10903127.2015.1102995
M3 - Article
C2 - 26808116
AN - SCOPUS:84958531045
VL - 20
SP - 175
EP - 183
JO - Prehospital Emergency Care
JF - Prehospital Emergency Care
SN - 1090-3127
IS - 2
ER -